APCTC FORMS

These documents recently have been updated.  Translations to other languages will be available soon.  

CONSENT FORM - ENGLISH

CONSENT FORM - SPANISH

APCTC WELCOME PACKET - ENGLISH

CONSENT FORM - VIRTUAL ART GALLERY

​LOS ANGELES COUNTY DEPARTMENT OF MENTAL HEALTH FORMS

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notice of privacy practices - english

notice of privacy practices - spanish

medi-cal beneficiary handbook - multiple languages

patients' rights consumer resource directory - english

REQUEST FOR CHANGE OF PROVIDER FORM - ENGLISH

REQUEST FOR CHANGE OF PROVIDER FORM - SPANISH

beneficiary/client grievance or appeal and authorization forms - multiple languages

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LOS ANGELES COUNTY DEPARTMENT OF MENTAL HEALTH PROVIDER DIRECTORY

LINK TO DIRECTORY